| Organization Name: | DYNASTY CARE SERVICES, LLC |
| NPI Number: | 1578840302 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHANIE PRICE (PRESIDENT) |
| Mailing Address: | 4337 Se 15th St Del City |
| State: | OK US |
| Postal Code: | 731153001 |
| Phone Number: | 4056091760 |
| Fax Number: | 4056091769 |
| NPI Enumeration Date: | 11/08/2011 |
| NPI Last Update Date: | 11/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |